US · guidance
CMS Pub. 100-04, ch. 18, § 90.3.1
Modifier Requirements for Pre-diabetes
A claim that is submitted for diabetes screening and the beneficiary meets the definition of pre-diabetes shall be
submitted in the following manner:
The line item shall contain 82497, 82950 or 82951 with a diagnosis code of V77.1 (if ICD-9-CM is applicable) or, if,
ICD-10-CM is applicable, diagnosis code Z13.1. In addition, modifier “TS” (follow-up service) - shall be reported on
the line item.
History
(Rev. 3329, Issued: 08-14-15, Effective: 01-01-12, Implementation: 09-14-15)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ac87e9d4252267eb02c9b7179644aafb13122642191c141770f30ae756400f6c
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